Stellman Jeanne Mager, Cohen Susan, Rosenfield Allan
Department of Preventive Medicine and Community Health, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
Acad Med. 2008 Apr;83(4):365-70. doi: 10.1097/01.ACM.0b013e318166af00.
For physicians to better treat and advise their patients on the roles of behavioral and social factors in health and disease, greater levels of competency in social and behavioral sciences are needed. Physicians should also understand the structure, financing, and administration of the health care delivery system, so that they will be able to practice medicine effectively and participate in planning and managing the delivery of care. And, improving overall public health requires that physicians understand the basic tenets of population-based medicine. One way to achieve these goals is to develop education and training programs for integrating formal public health training with formal medical training. There are many models by which a medical student or practitioner can obtain a master of public health (MPH) degree. In this article, the authors describe an accelerated one-year MPH program for competitively selected New York City medical students who have completed their third year of training and enroll at the Mailman School of Public Health, Columbia University. The Macy Scholars Program, offered between 1999 and 2007 to 12 students per year, is completed between the third and fourth years of medical school. Under full-tuition scholarships, students complete a practicum experience, attend seminars, and write a master-level paper or thesis, among other requirements. Data from an evaluation of this program demonstrate participant satisfaction and support of the program, outstanding academic performance, and the effect of public health training on their residency and career choices.
为了让医生更好地就行为和社会因素在健康与疾病中的作用对患者进行治疗和提供建议,需要他们在社会和行为科学方面具备更高的能力水平。医生还应了解医疗保健服务体系的结构、融资和管理,以便能够有效地行医并参与医疗服务的规划和管理。此外,改善整体公共卫生状况要求医生理解基于人群的医学的基本原理。实现这些目标的一种方法是制定教育和培训计划,将正规的公共卫生培训与正规的医学培训相结合。医学生或从业者有多种途径可以获得公共卫生硕士(MPH)学位。在本文中,作者描述了一个为期一年的加速MPH项目,该项目面向经过竞争选拔的纽约市医学生,他们已完成第三年的培训,并进入哥伦比亚大学梅尔曼公共卫生学院学习。梅西学者项目在1999年至2007年期间每年面向12名学生提供,在医学院第三年和第四年之间完成。在全额学费奖学金的支持下,学生要完成实习经历、参加研讨会并撰写硕士水平的论文或毕业论文等其他要求。对该项目的评估数据显示了参与者对项目的满意度和支持度、出色的学业表现,以及公共卫生培训对他们住院医师培训和职业选择的影响。